Provider Demographics
NPI:1225280142
Name:KELLY, ROBYN (THERAPIST)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:KELLY
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11260 CHESTER RD STE 728
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4048
Mailing Address - Country:US
Mailing Address - Phone:513-449-0445
Mailing Address - Fax:513-854-9019
Practice Address - Street 1:11260 CHESTER RD STE 728
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4048
Practice Address - Country:US
Practice Address - Phone:870-630-2328
Practice Address - Fax:513-854-9019
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health